WILLO-ESQUE HOME OWNERS ASSOCIATION

REQUEST FOR ARCHITECTURAL COMMITTEE APPROVAL

FOR MODIFICATIONS TO THE FOLLOWING PROPERTY

REQUESTOR: ________________________________

ADDRESS: ________________________________

DATE: ________________________________

THE FOLLOWING PLAN TO MODIFY, CHANGE OR ADD TO EXISTING STRUCTURES, ROOFING OR FENCING ON THE ABOVE PROPERTY FOLLOW: (FILL IN APPLICABLE BLANKS)

1. REQUESTED CHANGE OR MODIFICATION:

2. TYPE OF MATERIALS TO BE UTILIZED (SUPPLY BROCHURE OR SAMPLES):

3. LOCATION (IF A NEW STRUCTURE, SUPPLY SKETCH OR DRAWING):

4. PLANNED COLORS (MUST BE IN HARMONY WITH EXISTING BUILDINGS):

5. SIDE YARD REQUIREMENTS MEET:

6. TIME NEEDED TO COMPLETE CHANGE:

______________________________________________________________________________________

APPROVED _________ DISAPPROVED __________

COMMENTS OR REQUIREMENTS:

SIGNED BY: ___________________________ _____________________________

PRINTED NAME ________________________ _____________________________

2 SIGNATURES REQUIRED